Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Ann Wennerstrom, PA

Individual provider Medical Physician Assistant · NPI 1114498029

Elizabeth Ann Wennerstrom, PA is a Medical Physician Assistant in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13460 N 94th Dr Ste J1
Peoria, AZ 85381-4264
Phone: (623) 876-8816
Fax: (623) 298-0168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 7262 (AZ)

Record details

NPI number1114498029
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024

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